Abstract：
BACKGROUND:Surgical site infections (SSIs) following hip fracture surgeries have profound clinical and economic implications. The study aims to analyze the effect of an integrative SSI prevention care bundle on the SSI incidence among surgical hip patients. The study also aims to examine the association between SSI and mortality, readmission, duration of hospitalization, and hospital cost. METHODS:A retrospective cohort study was carried out to assess the incidence of SSI in an acute hip unit in Singapore from January 2015 to September 2017. Patients who developed SSI fell into the exposure group, whereas patients without SSI fell into the nonexposure group. A comparison of the incidence of mortality, readmission, length of stay, and inpatient bill size was conducted between the 2 groups. RESULTS:Among 758 hip surgeries performed during the study period, 14 (1.8%) SSIs were documented. Compared with patients with no SSI, patients with SSI were 4.27times more likely to be readmitted within 30days, had 2.47times longer length of stay, and 2.15times the inpatient bill size. CONCLUSIONS:An integrative care bundle that capitalizes on the expertise of a multidisciplinary team has promoted shared responsibility and proven to be effective in preventing SSIs while contributing to better patient outcomes within the unit.
journal_name
Am J Infect Controljournal_title
American journal of infection controlauthors
Mok WQ,Ullal MJ,Su S,Yiap PL,Yu LH,Lim SMM,Ker SYJ,Wang Jdoi
10.1016/j.ajic.2018.10.011subject
Has Abstractpub_date
2019-05-01 00:00:00pages
540-544issue
5eissn
0196-6553issn
1527-3296pii
S0196-6553(18)31025-3journal_volume
47pub_type
杂志文章abstract：BACKGROUND:Control chart methodology has been widely touted for monitoring and improving quality in the health care setting. P charts and U charts are frequently recommended for rate and ratio statistics, but their practical value in infection control may be limited because they (1) are not risk-adjusted, and (2) perfo...
journal_title：American journal of infection control
pub_type： 杂志文章
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abstract：BACKGROUND:Long-term acute care hospitals (LTACHs) have a unique patient population, with multiple risk factors for carbapenem-resistant Enterobacteriaceae (CRE) colonization and infection. METHODS:We performed a retrospective analysis of patients in LTACHs who were diagnosed with and treated for CRE infections. Basel...
journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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更新日期：2020-11-01 00:00:00
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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abstract：:Infection control practitioners (ICPs) are important partners in enhancing the US public health infrastructure, both as essential recipients of continuing education and as instructors responsible for providing this education. Focus groups were conducted at APIC 2000, the annual meeting for the Association for Professi...
journal_title：American journal of infection control
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doi：10.1067/mic.2001.119821
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journal_title：American journal of infection control
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更新日期：1996-10-01 00:00:00
abstract：BACKGROUND:Patient and visitor hand hygiene has the potential to prevent health care-associated infections, but there are few data on the efficacy of interventions to improve patient/visitor hand hygiene. OBJECTIVE:To determine whether conventional and front-line ownership (FLO) patient/visitor hand hygiene interventi...
journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2015.10.001
更新日期：2016-01-01 00:00:00
abstract：BACKGROUND:We used workers' compensation data to identify health care workers at risk of tuberculosis exposure in the hospital and nonhospital environment. METHODS:We identified State Fund workers' compensation claims having a documented tuberculin skin test (TST) conversion (size >or=10 mm) with a previous negative s...
journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2006.02.005
更新日期：2006-08-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.11.024
更新日期：2017-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2020-09-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2016.04.228
更新日期：2016-12-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1067/mic.2003.58
更新日期：2003-05-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2007.06.006
更新日期：2008-05-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2011.11.008
更新日期：2012-11-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2013.02.013
更新日期：2013-11-01 00:00:00
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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journal_title：American journal of infection control
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更新日期：2020-04-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2004-06-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2018.12.020
更新日期：2019-08-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2014-07-01 00:00:00
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journal_title：American journal of infection control
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更新日期：1989-08-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
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更新日期：2019-07-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2011-03-01 00:00:00
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journal_title：American journal of infection control
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更新日期：2015-09-01 00:00:00
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journal_title：American journal of infection control
pub_type： 杂志文章
doi：10.1016/j.ajic.2019.02.014
更新日期：2019-08-01 00:00:00
